Individual
MRS. ANNE MARIE KLASSERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
UNIVERSITY HOSPITAL AT STONY BROOK, HSC T-9 RM 040, STONY BROOK, NY 11794-0001
(631) 444-1205
(631) 444-7620
Mailing address
UNIVERSITY HOSPITAL AT STONY BROOK, HSC T-9 RM 040, STONY BROOK, NY 11794-0001
(631) 444-1205
(631) 444-7620
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300922-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02322223
—
NY
Enumeration date
09/20/2005
Last updated
07/08/2007
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